Texas Affidavit For Mechanic'S And Materialman'S Lien Form (Page 2 of 2) in pdf

Texas Affidavit For Mechanic'S And Materialman'S Lien Form Page 2

_________ [month, year]

$_______________

Total

$_______________

The real property sought to be charged with such lien by Claimant is:

[put in address/description]

and more fully described on Exhibit "A" attached hereto and incorporated by reference

herein.

The Claimant sent Notice(s) of the Claim to the Owner or the reputed Owner and to the

General Contractor on ____________________________ by certified mail, return receipt

requested, and by regular first class mail.

One (I) copy of this Affidavit is being sent by Certified Mail, Return Receipt Requested

to the Owner described above, addressed to the Owner's last known address as described

above and one (1) copy of this Affidavit is being sent by Certified Mail, Return Receipt

Requested to the Original Contractor described above, addressed to the Original

Contractor's last known address as described above

SWORN AND EXECUTED on this the _______day of _________________, 20___.

[Claimant company name]

By:____________________________________

Name:_________________________________

Title:__________________________________

THE STATE OF TEXAS

COUNTY OF __________

BEFORE ME, the undersigned Notary Public, on this _________ day of _____________________, 20__

personally appeared _______________________________ of _________________________________,

known to me to be the person whose name is subscribed to the foregoing instrument, who acknowledged

to me that such person executed the same for the purposes and consideration therein expressed and in the

capacity therein stated as the act and deed of said [corporation, partnership, etc.] and further swore that

the foregoing was true and correct.

_____________________________________________

Notary Public in and for the State of Texas

AFTER RECORDING RETURN TO

[insert name/company]

Texas Affidavit For Mechanic'S And Materialman'S Lien Form Page 2